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Name: D M Sweta
Email: swetalucy2796@gmail.com
Stream: Science
Mobile: 7381826967
Category: General
Religion: Hindu
Date of Birth: 1996-05-27
Sex: Female
Nationality: Indian
Mother Tongue: Odia
AadharCard Id (Optional): Voter Id Card (Optional): -
Address of College/Institution:
NILADRI VIHAR,CHANDRASEKHAR
PUR,BHUBANESWAR
Year of Entry: 2004
Year of Passing: 2015
Mark Type: MARKS
Mark/CGPA Secured: 335
Max Mark / CGPA: 500
Percentage: 67.00
Permanent Address
State: Odisha
District: KHURDA
Bank Account
Account Number: 2957108002041
Account Holder Name: D M Sweta
A/C Type: Personal
IFSC Number: CNRB 000 2957
Bank Name: Canara Bank
MICR Number: 751015007
(For online money transfer through RTGS/NEFT)
Declaration
I do hereby declare that the above information furnished by me is true and correct to the best of
my knowledge and belief. I am not availing any scholarship from Government of Odisha in any
other.
Date ________________________
Essential Enclosures
The following documents needs to be submitted at the college/institution along with this
form
Slno
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